Malnutrition and quality of life in patients treated for oral or oropharyngeal cancer

Head Neck. 2011 Apr;33(4):490-6. doi: 10.1002/hed.21473. Epub 2010 Sep 7.

Abstract

Background: This study assessed whether malnourished patients score lower on quality of life after treatment for oral/oropharyngeal cancer.

Methods: Malnutrition (weight loss ≥ 10% in 6 months/ ≥ 5% in 1 month) and quality of life (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 questionnaire) were assessed cross-sectionally in patients treated for oral/oropharyngeal cancer. The interval after treatment varied from 1 day to 3 years. The relationship between malnutrition and quality of life was analyzed univariately (Mann-Whitney U test) and multivariately (linear regression analyses). Statistical significance was set at p < .05.

Results: Prevalence of posttreatment malnutrition was 16% (18/115, 95% confidence interval [CI]: 9% to 23%). Analyzed univariately, malnourished patients scored significantly worse on physical functioning (p = .007) and fatigue (p = .034) than well-nourished patients. Multivariate analysis revealed that malnutrition was significantly related to physical functioning (p = .015).

Conclusions: Malnourished patients treated for oral/oropharyngeal cancer score lower on quality of life scales related to physical fitness.

MeSH terms

  • Female
  • Health Status
  • Humans
  • Male
  • Malnutrition / etiology*
  • Middle Aged
  • Mouth Neoplasms / complications
  • Mouth Neoplasms / therapy*
  • Oropharyngeal Neoplasms / complications
  • Oropharyngeal Neoplasms / therapy*
  • Quality of Life*
  • Surveys and Questionnaires
  • Weight Loss